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垂直阴道: laparoscopic辅助拉透和后侧斜体直肠整形术的比较分析

Maria Marcela Bailez¹, Paula Lorena Roumieu¹, Lucila Alvarez¹

¹Division of Pediatric Surgery, Garrahan Children 's Hospital, Buenos Aires, Argentina.

Journal of pediatric surgery

|November 21, 2023

概括

腹腔镜治疗 (LT) 和用于直角阴道 (RvaF) 的后侧侧瘤整形术 (ST) 显示了类似的功能结果. 这两种手术方法都是治疗RvaF的有效选择,这种情况通常与其他异常有关.

科学领域:

儿科手术儿科手术
直肠异常变形直肠异常变形
最少侵入性的手术

背景情况:

阴直管 (RvaF) 是一种罕见的阳直管形 (ARM).
之前的研究报告了RvaF腹腔镜治疗 (LT) 的可行性和结果.
这项研究将LT与RvaF的传统后部斜性瘤整形 (ST) 进行比较.

研究的目的:

为了比较腹腔镜治疗 (LT) 与直肠阴道抽 (RvaF) 的后部松性瘤整形手术 (ST) 的结果.
在一个中心评估与两个手术技术相关的功能结果和并发症.

主要方法:

在2000年至2020年期间治疗的19名RvaF患者的回顾性分析.
9名患者接受了LT,10名患者接受了ST.
收集的数据包括手术时的年龄,相关异常,十字骨比例指数 (SR),手术时间,并发症和功能结果,包括肠道管理计划 (BMP) 的要求.

主要成果:

17名患者 (89.5%) 有相关异常,主要是泌尿学.
在LT (195.8分钟) 和ST (190.4分钟) 之间,运行时间相似.
功能结果相似,在LT和ST组之间没有观察到统计学上显著的差异,尽管LT患者的低SR (<0.4) 结果较差.

结论:

阴直管 (RvaF) 经常与其他异常有关.
腹腔镜治疗 (LT) 是RvaF的一种可行的手术选择,其功能结果与后侧斜性瘤整形术 (ST) 相似.
仔细选择患者,特别是考虑到圣骨比率指数,对于优化结果很重要.

关键词:

直肠形直肠形直肠形拉巴洛斯科普辅助拉透技术可以帮助拉透.后面的沙吉塔形形整形术.直阴道管.

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